Medicare Benefits Schedule - Item 55764

Category 5 - DIAGNOSTIC IMAGING SERVICES

55764

55764 - Additional Information

Item Start Date:

01-Nov-2000

Description Start Date:

01-Nov-2001

Schedule Fee Start Date:

01-Nov-2000

Group

I1 - Ultrasound

Subgroup

5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, where:

(a) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and

(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(e) the referring practitioner is not a member of a group of practitioners to which the providing practitioner is a member; and

(f) further examination is clinically indicated in the same pregnancy to which item 55759 or 55762 has been performed; and

(g) not performed in conjunction with item 55706, 55709, 55712 or 55715 during the same pregnancy (R)

Associated Notes

Category 5 - DIAGNOSTIC IMAGING SERVICES

IN.0.19

Bulk Billing Incentive

To provide an incentive to bulk-bill, for out of hospital services that are bulk billed the schedule fee is reduced by 5% and rebates paid at 100% of this revised fee (except for item 61369, and all items in Group I5 - Magnetic Resonance Imaging). For items in Group I5 - Magnetic Resonance Imaging, the bulk billing incentive for out of hospital services is 100% of the Schedule Fee listed in the table.